<!-- ###TEMPLATE_FORM1### -->
###master_multipart-form-start_contact-form-b###

	###master_section-start###
		###master_input_firstName###
		###master_input_lastName###
	###master_section-end###

	###master_section-start###
		###master_input_company###
		###master_input_street###
	###master_section-end###

	###master_section-start###
		###master_input_postCode###
		###master_input_town###
	###master_section-end###

	###master_section-start###
		###master_input_email###
		###master_input_phone###
	###master_section-end###

	###master_section-start###
		###master_input_targetLanguage###
		###master_input_sourceLanguage###
	###master_section-end###

	###master_section-start###
		<div class="form-group ###is_error_i_would_like###">
			<select class="form-control" name="###formValuesPrefix###[i_would_like]" id="i_would_like">
				<option value="">###LLL:i_would_like### ###required_i_would_like###</option>
				<option value="###LLL:i_would_like_0###" ###selected_i_would_like_###LLL:i_would_like_0######>###LLL:i_would_like_0###</option>
				<option value="###LLL:i_would_like_1###" ###selected_i_would_like_###LLL:i_would_like_1######>###LLL:i_would_like_1###</option>
				<option value="###LLL:i_would_like_2###" ###selected_i_would_like_###LLL:i_would_like_2######>###LLL:i_would_like_2###</option>
				<option value="###LLL:i_would_like_3###" ###selected_i_would_like_###LLL:i_would_like_3######>###LLL:i_would_like_3###</option>
				<option value="###LLL:i_would_like_4###" ###selected_i_would_like_###LLL:i_would_like_4######>###LLL:i_would_like_4###</option>
				<option value="###LLL:i_would_like_5###" ###selected_i_would_like_###LLL:i_would_like_5######>###LLL:i_would_like_5###</option>
				<option value="###LLL:i_would_like_6###" ###selected_i_would_like_###LLL:i_would_like_6######>###LLL:i_would_like_6###</option>
			</select>
			###error_i_would_like###
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		###master_select_city###
	###master_section-end###

	###master_section-start###
		###master_file_file###
	###master_section-end###

	###master_textarea_remarks###

	###master_submit_send###

###master_form-end###
<!-- ###TEMPLATE_FORM1### -->